Organization
COMPREHENSIVE FOOT CARE OF ORANGEBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHADIJAH H ALLEN D.P.M. (PODIATRIST)
(803) 937-5876
Entity
Organization
Contact information
Practice address
1717 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 937-5876
(803) 937-5879
Mailing address
1717 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 937-5876
(803) 937-5879
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
598
SC
Other
Enumeration date
03/05/2009
Last updated
03/15/2010
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